Background: Augmentation mastopexy in post-bariatric
surgery patients is a combined challenge that may not be
successfully addressed with traditional procedures. One stage
augmentation mastopexy techniques poses a relatively high
rate of complications and revisions. Pathological changes in
post-bariatric surgery breasts make them more complicated.
This necessitates modification of our techniques to overcome
these problems and achieve long lasting esthetic results.
Patients and Methods: Thirty five post-bariatric patients
who underwent augmentation mastopexy using a modified
superior pedicle technique and subpectoral implant placement
were included in a retrospective study. The data collected
involved: Pre-operative patients' age, body mass index (BMI),
amount of weight reduction, grade of ptosis, standard preand
post-operative photographs, patients' satisfaction, complications
and rate of revisions.
Results: This technique was successfully applied with
good to excellent results, rated by 94% of the patients after
an average follow up period of 14.3 months, 10% complication
rate and 7.1% reoperation rate.
Conclusion: The described technique provides long
lasting aesthetic results for correction of post-bariatric breast
deformity.